Nasopharyngeal hairy polyp with recurrence in the middle ear

Steven S. Chang, Marc Halushka, Joseph Vander Meer, Martin Goins, Howard W. Francis

Research output: Contribution to journalArticlepeer-review

Abstract

A 6-year-old girl was referred to The Johns Hopkins Hospital for a suspected congenital cholesteatoma. The lesion was determined to be a recurrence of a nasopharyngeal hairy polyp removed in the postnatal period. Simple excision is normally regarded as curative: malignant transformation and local recurrence do not occur. Our case is exceptional in that incomplete excision of the nasopharyngeal polyp was followed by re-growth and extension into the middle ear over a 6-year period. Thus, not all hairy polyps are static lesions. Indeed, this case documents progressive growth of a hairy polyp during physical development of a child, and indicates a potential for local recurrence following incomplete excision. A review of possible etiologies is conducted.

Original languageEnglish (US)
Pages (from-to)261-264
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume72
Issue number2
DOIs
StatePublished - Feb 1 2008

Keywords

  • Dermoid
  • Middle ear choristoma
  • Nasopharyngeal hairy polyp
  • Recurrence
  • Teratoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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